Cost of OPD treatment,relating to the Indoor treatment, incurred during the
period of thirty days prior to admission as well as during the period of thirty
days after discahrge is available for reimbursement.

60% (80% where number of bed is more than 80) of approved Cost or actual amount
paid whichever is less is reimbursable when treatment is
done in non empanelled hospitals within the State provided the hospital, on the
date of treatment, had a valid license under West Bengal Clinical Establishment Act and Rules.

Reimbursement of cost of certain investigations as mentioned in point 10 of Memo
No 797-F(Med)/WB Dt 31/01/2011

Cost of certain investigations as mentioned in point 10 of Memo No 797-F(Med)/WB
Dt 31/01/2011 are reimbursable on the basis of OPD prescriptions of doctors,
consulted in a recognised hospitals, in case of any disease provided the
investigations are done in empanelled hospital/diagnostic centre.